Individual
JASON MICHAEL HURD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
612 N PARKER ST, OLATHE, KS 66061-2438
(913) 523-6081
(913) 392-7199
Mailing address
PO BOX 19114, LENEXA, KS 66285-9114
(913) 523-6081
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11238
KS
104100000X
Social Worker
Primary
11238
KS
Other
Enumeration date
09/20/2023
Last updated
03/27/2024
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